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AMCIS2014 Savannah Paper Submission Impact of Information Technology Culture Conflict on Meaningful Use of Electronic Health Records System: A Conceptual Framework

机译:AMCIS2014萨凡纳论文提交信息技术文化冲突对合理使用电子病历系统的影响:概念框架

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Barriers to the adoption of Electronic Health Records (EHR) systems have been well documented. Researchers and practitioners agree that the benefits of EHR systems are contingent on Meaningful Use (MU) of EHR. However, most research on the barriers to MU (set of standards defined by Centers for Medicare & Medicaid Services) is a theoretical and anecdotal. Given that (ⅰ) research on MU shows that physicians and nurses (users) resist MU despite recognizing its potential benefits, and (ⅱ) theories related to IS use and user resistance take a rationalistic view (focused on perceived benefits), there is a need to view the barriers to MU from an alternate lens. This study argues that resistance to MU is due to the conflict between user groups' personal values, IT values and EHR systems related values and hence, uses the IT Culture Conflict theory to understand user resistance to MU. Implications for research and practice are discussed.
机译:充分记录了采用电子病历(EHR)系统的障碍。研究人员和从业人员一致认为,电子病历系统的好处取决于电子病历的有意义的使用(MU)。但是,大多数关于MU障碍(由Medicare和Medicaid Services中心定义的标准集)的研究都是理论上和轶事上的。鉴于(ⅰ)对MU的研究表明,尽管医生和护士(用户)意识到MU的潜在好处,但(ⅱ)与IS使用和用户抵制有关的理论采取了理性主义的观点(关注于感知到的好处),需要从备用镜头查看MU的障碍。这项研究认为,对MU的抵制是由于用户群体的个人价值观,IT价值观和EHR系统相关价值之间的冲突,因此,使用IT文化冲突理论来理解用户对MU的抵制。讨论了对研究和实践的意义。

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